Osteoartritli bireylerde vitamin D düzeyi ile ağrı, fonksiyonel durum ve yaşam kalitesi arasındaki ilişki
Yıl 2021,
Cilt: 11 Sayı: 2, 180 - 184, 25.03.2021
Dilek Efe Arslan
,
Nazan Kılıç Akça
,
Sibel Şentürk
,
Murat Korkmaz
Öz
Amaç: Bu çalışma, osteoartritli (OA) bireylerde vitamin D düzeyi ile ağrı, fonksiyonel durum ve yaşam kalitesi arasındaki ilişkiyi belirlemek amacıyla yapılmıştır.
Gereç ve Yöntem: Kesitsel ve tanımlayıcı tipte olan bu çalışma 138 kişi ile 15 Nisan - 30 Ağustos 2019 tarihleri arasında, bir Araştırma ve Uygulama Hastanesi’nin ortopedi kliniğinde gerçekleştirildi.
Bulgular: Bireylerin% 70,3'ünün D vitamini düzeyi 20 ng / ml ve daha düşüktü. Bireylerin D vitamini düzeyleri ile yaş, VAS, WOMAC ve SF-36 alt ölçekleri arasında anlamlı bir ilişki olmadığı belirlendi (p> 0.05).
Sonuç: D vitamini OA'lı bireylerde çok yaygındır. Daha büyük örneklem büyüklüğüyle randomize kontrollü çalışmalar yapılması önerilebilir.
Teşekkür
Çalışmaya katılan bütün hastalara teşekkür ederiz.
Kaynakça
- 1.Vos T, Allen C, Arora M et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the global burden of disease study 2015. The Lancet 2016; 388:1545–602
- 2. Ovayolu N, Ovayolu Ö. editors. Basic internal medicine nursing and chronic diseases with different dimensions. Çukurova Nobel Publicaitons: Adana; 2016.
- 3. Ling SM, Rudolph K. Osteoarthritis, In: Clinical treatment in rheumatic diseases (3.Baskı), Dinç A. (Edt.), Özgün Ofset: Ankara; 127-132. 2007.
- 4. Arslan DE, Kutlutürkan S, Korkmaz M. The effect of aromatherapy massage on knee pain and functional status in participants with osteoarthritis. Pain Manag Nurs. 2019; 20:62-69
- 5. Çalışkan N. Superficial hot and cold application in the treatment of knee osteoarthritis: are the evidences enough? Contemporary Medicine Journal 2013; 3:136-43.
- 6.Cakar M. Association between vitamin D concentrations and knee pain in patients with osteoarthritis. Peer J. 2018; 6:e4670.
- 7. Park CY. Vitamin D in the prevention and treatment of osteoarthritis: from clinical interventions to cellular evidence. Nutrients. 2019; 11(2): 243.
- 8. McAlindon T, LaValley M, Schneider E et al. Effect of vitamin D supplementation on progression of knee pain and cartilage volume loss in patients with symptomatic osteoarthritis: A randomized controlled trial. J Am Med Assoc. 2013; 309:155162
- 9. Jin X, Antony B, Wang X et al. Effect of vitamin D supplementation on pain and physical function in patients with knee osteoarthritis (OA): An OA Trial Bank protocol for a systematic review and individual patient data (IPD) meta-analysis. BMJ open 2020; 10(4): e035302.
- 10.Zhang FF, Driban JB, Lo GH et al. Vitamin D deficiency is associated with progression of knee osteoarthritis. J Nutr 2014;144:2002–2008.
- 11. Yu Y, Liu D, Feng D, Zhao J. Association between vitamin D and knee osteoarthritis: a PRISMA-compliant meta-analysis. Zeitschrift für Orthopädie und Unfallchirurgie 2020.
- 12. Macfarlane GJ, Palmer B, Roy D, Afzal C, Silman AJ, O'Neill T. An excess of widespread pain among South Asians: are low levels of vitamin D implicated? Ann Rheum Dis 2005; 64:1217–1219.
- 13. Anand S, Kaysen GA, Chertow GM et al. Vitamin D deficiency, self-reported physical activity and health-related quality of life: the comprehensive dialysis study. Nephrol Dial Transplant 2011; 1–6.
- 14. Huang W, Shah S, Long Q, Crankshaw AK, Tangpricha V. Improvement of pain, sleep, and quality of life in chronic pain patients with vitamin D supplementation. Clin J Pain 2013; 29:341–347.
- 15. Alkan S, Sarsan A, Alkan H, Yıldız N, Topuz O, Ardıç F. Relatıonshıp between balance, physıcal performance and qualıty of lıfe wıth vıtamın d levels ın the elderly. Turkish J Geriatr 2012; 15:156-163
- 16. Kim HJ, Lee JY, Kim TJ, Lee JW. Association between serum vitamin D status and health-related quality of life (HRQOL) in an older Korean population with radiographic knee osteoarthritis: data from the Korean national health and nutrition examination survey (2010–2011). Health Qual Life Outcomes 2015; 13:4
- 17.Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med 38:633-638.
- 18.Tüzün EH, Eker L, Aytar A. (2005) Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage 2001;13:28-33.
- 19. Aungst F, Aeschlimann A, Steiner W, Stucki G. Responsiveness of the WOMAC osteoarthritis index as compared with the SF-36 in patients with osteoarthritis of the legs undergoing a comprehensive rehabilitation intervention. Ann Rheum Dis 2001; 60:834-840.
- 20. Ware JE, Sheurborune CD. The MOS 36-item short-form health survey (SF-36). Med Care 1992;30:473-83.
- 21. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36) Drug and Therapy Journal 1999;12:102-6.
- 22. Çimen Atalar A. (2019) The Relationship Between 25 (OH) Vitamin D Level and the Severity of Disease and Sleep Quality in Restless Legs Syndrome. Turk J Neurol 25:87-91.
- 23. Fern L, Olazabal RM, Tovar KC, Alban NP, Wilman MV, Vilca JLR. Serum levels of vitamin D in women treated at rheumatology services in Lima Int. J Clin Rheumatol 2019; 14:105-112.
- 24. Goula T, Kouskoukis A, Drosos G et al. Vitamin D status in patients with knee or hip osteoarthritis in a Mediterranean country. J Orthop Traumatol 2015; 16:35-39.
- 25. Tu L, Zheng S, Cicuttini F et al. Effects of vitamin D supplementation on disabling foot pain in patients with symptomatic knee osteoarthritis. Arthritis Care & Research 2020 First published: 05 July 2020
- 26. Aksakoğlu G. Research and analysis in health. World of Medical Education 2006; 21:22-26.
- 27. Vaishya R, Vijay V, Lama P, Agarwal A. Does vitamin D deficiency influence the incidence and progression of knee osteoarthritis?–A literature review. Journal of clinical orthopaedics and trauma 2019; 10(1): 9-15.
- 28. Anari H, Enteshari-Moghaddam A, Abdolzadeh Y. Association between serum Vitamin D deficiency and Knee Osteoarthritis. Mediterranean Journal of Rheumatology 2019; 30(4).
- 29. Alkan SE, Çakıt BD, Salbaş E, Hakan G. The effects of vitamin D on muscle strength and functional status of the elderly patients with knee osteoarthritis. Aegean J Med Sci 2020; 3(2): 46-53.
- 30. Heidari B, Babaei M. Therapeutic and Preventive Potential of Vitamin D Supplementation in Knee Osteoarthritis. ACR Open Rheumatology 2019; 1(5): 318-326.
- 31. Alsowai S, Bin Bakr Z. (2018) Vitamin-D deficiency and insufficiency and quality of life in Jeddah, KSA: Is there any evidence of association. J Public Health Epidemiol 10:62-68.
- 32. Tuncer T, Çay HF, Kaçar C et al. Evidence-Based Recommendations for the Management of Knee Osteoarthritis:A Consensus Report of the Turkish League Against Rheumatism. Turk J Rheumatol 2012; (27): 1-17.
- 33.Dhesi JK, Jackson SH, Bearne LM, et al. Vitamin D supplementation improves neuromuscular function in older people who fall. Age Ageing 2014; 33:589-95.
RELATIONSHIP BETWEEN VITAMIN D LEVEL ON PAIN, FUNCTIONAL STATUS AND QUALITY OF LIFE IN INDIVIDUALS WITH OSTEOARTHRITIS
Yıl 2021,
Cilt: 11 Sayı: 2, 180 - 184, 25.03.2021
Dilek Efe Arslan
,
Nazan Kılıç Akça
,
Sibel Şentürk
,
Murat Korkmaz
Öz
Objective: This study was conducted to determine the correlation between vitamin D level and pain, functional status, and quality of life in individuals with osteoarthritis (OA).
Material and Method: This cross-sectional and descriptive study was completed with 138 individuals. The study was carried out between April 15 and August 30, 2019, at the Orthopedics Clinic of a Research and Practice Hospital.
Results: 70.3% of the individuals had a vitamin D level of 20 ng/ml and less. It was determined that there was no significant correlation between individuals' vitamin D levels and age, VAS, WOMAC, and SF-36 subscales (p>0.05).
Conclusion: Vitamin D deficiency (VDD) is very common in individuals with OA. It may be recommended to conduct randomized controlled studies with larger sample size.
Kaynakça
- 1.Vos T, Allen C, Arora M et al. Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990–2015: a systematic analysis for the global burden of disease study 2015. The Lancet 2016; 388:1545–602
- 2. Ovayolu N, Ovayolu Ö. editors. Basic internal medicine nursing and chronic diseases with different dimensions. Çukurova Nobel Publicaitons: Adana; 2016.
- 3. Ling SM, Rudolph K. Osteoarthritis, In: Clinical treatment in rheumatic diseases (3.Baskı), Dinç A. (Edt.), Özgün Ofset: Ankara; 127-132. 2007.
- 4. Arslan DE, Kutlutürkan S, Korkmaz M. The effect of aromatherapy massage on knee pain and functional status in participants with osteoarthritis. Pain Manag Nurs. 2019; 20:62-69
- 5. Çalışkan N. Superficial hot and cold application in the treatment of knee osteoarthritis: are the evidences enough? Contemporary Medicine Journal 2013; 3:136-43.
- 6.Cakar M. Association between vitamin D concentrations and knee pain in patients with osteoarthritis. Peer J. 2018; 6:e4670.
- 7. Park CY. Vitamin D in the prevention and treatment of osteoarthritis: from clinical interventions to cellular evidence. Nutrients. 2019; 11(2): 243.
- 8. McAlindon T, LaValley M, Schneider E et al. Effect of vitamin D supplementation on progression of knee pain and cartilage volume loss in patients with symptomatic osteoarthritis: A randomized controlled trial. J Am Med Assoc. 2013; 309:155162
- 9. Jin X, Antony B, Wang X et al. Effect of vitamin D supplementation on pain and physical function in patients with knee osteoarthritis (OA): An OA Trial Bank protocol for a systematic review and individual patient data (IPD) meta-analysis. BMJ open 2020; 10(4): e035302.
- 10.Zhang FF, Driban JB, Lo GH et al. Vitamin D deficiency is associated with progression of knee osteoarthritis. J Nutr 2014;144:2002–2008.
- 11. Yu Y, Liu D, Feng D, Zhao J. Association between vitamin D and knee osteoarthritis: a PRISMA-compliant meta-analysis. Zeitschrift für Orthopädie und Unfallchirurgie 2020.
- 12. Macfarlane GJ, Palmer B, Roy D, Afzal C, Silman AJ, O'Neill T. An excess of widespread pain among South Asians: are low levels of vitamin D implicated? Ann Rheum Dis 2005; 64:1217–1219.
- 13. Anand S, Kaysen GA, Chertow GM et al. Vitamin D deficiency, self-reported physical activity and health-related quality of life: the comprehensive dialysis study. Nephrol Dial Transplant 2011; 1–6.
- 14. Huang W, Shah S, Long Q, Crankshaw AK, Tangpricha V. Improvement of pain, sleep, and quality of life in chronic pain patients with vitamin D supplementation. Clin J Pain 2013; 29:341–347.
- 15. Alkan S, Sarsan A, Alkan H, Yıldız N, Topuz O, Ardıç F. Relatıonshıp between balance, physıcal performance and qualıty of lıfe wıth vıtamın d levels ın the elderly. Turkish J Geriatr 2012; 15:156-163
- 16. Kim HJ, Lee JY, Kim TJ, Lee JW. Association between serum vitamin D status and health-related quality of life (HRQOL) in an older Korean population with radiographic knee osteoarthritis: data from the Korean national health and nutrition examination survey (2010–2011). Health Qual Life Outcomes 2015; 13:4
- 17.Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med 38:633-638.
- 18.Tüzün EH, Eker L, Aytar A. (2005) Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage 2001;13:28-33.
- 19. Aungst F, Aeschlimann A, Steiner W, Stucki G. Responsiveness of the WOMAC osteoarthritis index as compared with the SF-36 in patients with osteoarthritis of the legs undergoing a comprehensive rehabilitation intervention. Ann Rheum Dis 2001; 60:834-840.
- 20. Ware JE, Sheurborune CD. The MOS 36-item short-form health survey (SF-36). Med Care 1992;30:473-83.
- 21. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36) Drug and Therapy Journal 1999;12:102-6.
- 22. Çimen Atalar A. (2019) The Relationship Between 25 (OH) Vitamin D Level and the Severity of Disease and Sleep Quality in Restless Legs Syndrome. Turk J Neurol 25:87-91.
- 23. Fern L, Olazabal RM, Tovar KC, Alban NP, Wilman MV, Vilca JLR. Serum levels of vitamin D in women treated at rheumatology services in Lima Int. J Clin Rheumatol 2019; 14:105-112.
- 24. Goula T, Kouskoukis A, Drosos G et al. Vitamin D status in patients with knee or hip osteoarthritis in a Mediterranean country. J Orthop Traumatol 2015; 16:35-39.
- 25. Tu L, Zheng S, Cicuttini F et al. Effects of vitamin D supplementation on disabling foot pain in patients with symptomatic knee osteoarthritis. Arthritis Care & Research 2020 First published: 05 July 2020
- 26. Aksakoğlu G. Research and analysis in health. World of Medical Education 2006; 21:22-26.
- 27. Vaishya R, Vijay V, Lama P, Agarwal A. Does vitamin D deficiency influence the incidence and progression of knee osteoarthritis?–A literature review. Journal of clinical orthopaedics and trauma 2019; 10(1): 9-15.
- 28. Anari H, Enteshari-Moghaddam A, Abdolzadeh Y. Association between serum Vitamin D deficiency and Knee Osteoarthritis. Mediterranean Journal of Rheumatology 2019; 30(4).
- 29. Alkan SE, Çakıt BD, Salbaş E, Hakan G. The effects of vitamin D on muscle strength and functional status of the elderly patients with knee osteoarthritis. Aegean J Med Sci 2020; 3(2): 46-53.
- 30. Heidari B, Babaei M. Therapeutic and Preventive Potential of Vitamin D Supplementation in Knee Osteoarthritis. ACR Open Rheumatology 2019; 1(5): 318-326.
- 31. Alsowai S, Bin Bakr Z. (2018) Vitamin-D deficiency and insufficiency and quality of life in Jeddah, KSA: Is there any evidence of association. J Public Health Epidemiol 10:62-68.
- 32. Tuncer T, Çay HF, Kaçar C et al. Evidence-Based Recommendations for the Management of Knee Osteoarthritis:A Consensus Report of the Turkish League Against Rheumatism. Turk J Rheumatol 2012; (27): 1-17.
- 33.Dhesi JK, Jackson SH, Bearne LM, et al. Vitamin D supplementation improves neuromuscular function in older people who fall. Age Ageing 2014; 33:589-95.